PRNC Operating LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0901301N Issued in NY

Legal business name

PRNC OPERATING LLC

Practice address

8 Bushey Blvd
Plattsburgh, NY 12901-3761

Phone

(518) 563-3261

NPI assigned

Nov 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arieh Levi

Title

Business Office

Phone

(914) 597-7630

Specialties & licenses 1

Addresses

Other names 1

• Plattsburgh Rehabilitation and Nursing Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Evergreen Valley Nursing Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evergreen Valley Nursing Home

  • Skilled Nursing Facility
  • Plattsburgh, NY
  • NPI 1477540193
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1881146009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BUSHEY BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BUSHEY BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013761",
            "telephone_number": "518-563-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRNC OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "ARIEH",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "914-597-7630"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "0901301N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattsburgh Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Hathcock Pribble, MSED
• Primary Care Health Partners
• Primary Care Health Partners - New York LLP
• Primary Care Health Partners-Adirondack LLC
• PRNC Operating LLC
• Pro-Care Hearing, LLC
• John Anthony Prondecki, DMD
• Amiee Kristin Kota Provost, PHARMD
• Carissa Provost, LMHC-P
• Cristina Maria Prudencio-Brunello, MD

• Adult Day Care Clinic/Center in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.